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Let’s break down the stages of pressure ulcers.
📝 Pressure Ulcer Staging:
Stage 1:
🔴 Description: Non-blanchable erythema of intact skin. The area may be painful, firm, soft, warmer, or cooler compared to adjacent tissue.
📝 Care Tip: Relieve pressure on the affected area and monitor closely for changes.
Stage 2:
🔍 Description: Partial-thickness loss of skin with exposed dermis. The wound bed is pink or red and may appear as an intact or ruptured blister.
📝 Care Tip: Maintain a moist wound environment and protect the area from further injury.
Stage 3:
🦠 Description: Full-thickness skin loss where adipose tissue is visible. Granulation tissue and rolled wound edges may be present, along with slough or eschar.
📝 Care Tip: Debride necrotic tissue if present and use appropriate wound dressings to promote healing.
Stage 4:
⚠️ Description: Full-thickness skin and tissue loss with exposed muscle, tendon, ligament, or bone. Slough or eschar may be visible.
📝 Care Tip: Requires advanced wound care, possibly surgical intervention, and aggressive infection prevention measures.
Unstageable:
❓ Description: Full-thickness skin and tissue loss where the extent of damage cannot be confirmed due to slough or eschar obscuring the wound.
📝 Care Tip: The wound must be debrided to determine the stage and appropriate treatment.
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